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Hypoglycaemic Pathway for the prompt treatment and support of patients calling 999 for hypoglycaemia. This service is provided alongside London Ambulance Service.

Psychological support and onward referral to Richmond Well-Being Service where neededRetinal screening also available at Queen Mary's Hospital (in addition to Teddington Memorial Hospital)

Wherever possible patients with diabetes are treated by their own GP with support from a Diabetes Specialist Nurse allocated to the practice. However the specialist team ,based at Teddington Memorial Hospital, can provide specialist care for cases that are too complex to be dealt with by a patient's GP practice, but not complex enough to warrant hospital admission.

The teams work with the patient to agree outcomes and then produce a care-management plan, which the patient’s GP practice can implement between visits to the specialist clinic. This approach means that patients with diabetes are receiving specialised care for their condition at the most appropriate level and do not have to make unnecessary trips to acute hospitals.

HRCH Diabetes Richmond Service run a Hypoglycaemia Alert Pathway with London Ambulance Service.

Anyone calling 999 for hypoglycaemia will be assessed, treated by London Ambulance Service and transferred to hospital where necessary or referred to Diabetes Specialist Nurse team for treatment and advice to prevent further events.

Unstable patients will be assessed by Diabetes Specialist Team either in clinic or in patients own home. Registered GP will be notified of referral and outcome.

Patient education programmes

DESMOND (Diabetes Education and Self Management for Ongoing and Diagnosed)

Richmond Wellbeing Service: Psychological support & help for people living with a long term health condition

Talking to a psychologist can help you understand what is going on in your life and to find new ways of coping. Richmond Wellbeing Service offers a range of courses and seminars in a number of locations that are specifically designed to help with your problem. Find out more here.

HRCH Diabetes Tracker App

The trust's diabetes service has recently launched a new smart phone app to help local patients in the London Borough of Richmond to manage their condition more effectively.

Install the uMotif app

The uMotif app is now available to download from the AppStore, or from GooglePlay - simply search for "uMotif" and install the uMotif app.

Request an invite code

To access the HRCH Diabetes section of the uMotif app - please contact our diabetes team and request an invite code, by calling 020 8714 4070, or emailing HRCH.diabetesrichmond@nhs.net

* Please note - the app is only available for patients who live in the London Borough of Richmond.

About the app

The FREE uMotif diabetes app - developed by Hounslow and Richmond Community Healthcare NHS Trust with uMotif Digital Health - helps patients to manage their diabetes more effectively and enable closer working with their health care professional by:

logging insulin/meals and medications

plotting glucose levels against lifestyle variables

setting reminders

tracking trends

Diabetes App - a guide for patients

Specialist Nurse Support:

The Diabetes Specialist Nurse team is based at Teddington Memorial Hospital and is available for clinic appointments, telephone advice and support and home visits for housebound patients. A Diabetes Specialist Nurse is assigned to your GP practice and is available for advice and support and can arrange to see you if needed.

For appointments or to cancel or change an appointment please call: Tel :0208 714 4000

DESMOND Co-ordinator: Tel : 0208 714 4085/4086

Diabetes Retinal screening (Eye) appointments - Tel : 0333 456 0223

Opening times:

Clinic sessions:

Nurse-led clinics: At varying times of the day Monday ,Tuesday ,Thursday and Friday.

Multidisciplinary clinics: weekly on Friday morning.

Service runs between: 08.30 – 17:00 hrs.

You can contact the service via telephone during these hours or leave us a message and we will return your call as soon as possible .Please note this may not be the same working day.

Out of hours help – please call 111 or in an emergency please call 999 or attend your nearest A&E department.

Referrals for clinic assessments can be made by GP practices only. Speak to your GP for more information.

Structured Patient Education Programme sessions

DESMOND is a nationally accredited Diabetes self-management education programme for patients - you find out more here.

Referrals to our DESMOND programmes can be made by self-referral or by your GP/Practice Nurse for both our Newly Diagnosed and Foundation sessions (for people with a diagnosis made over 12 months ago).

The referral form can be downloaded using the link on the right-hand side of your screen.

IDAP Insulin Dose Adjustment Programme for Type 1 Diabetes

IDAP is a course to teach you how to manage your diabetes by working out how much insulin you need to take for what you want to eat in a fun and informal setting.

You will learn to count carbohydrates and then adjust your insulin doses accordingly. The aim of carbohydrate counting is to allow you to enjoy more dietaryfreedom to choose, within a normal balanced diet, whatever type or amount of carbohydrate you wish to eat and vary the timing of your meals and snacks .